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The diagnosis of acute pancreatitis required two of the following three features: abdominal pain consistent with acute pancreatitis, serum lipase and/or amylase activity at least three times greater than the upper limit of normal, and imaging findings characteristic of acute pancreatitis
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However, that doesnt quite fit with the availability of food over the century, the abundance of tasty cakes and pies, and the prior consumption of sugar (which has fallen since the 90s) and butter
